Impella support as a bridge to scheduled surgical repair of ventricular septal rupture

• DOI: 10.1007/s10047-020-01163-2
• Publication Date: 2020-03-27T00:07:29Z
• Authors: Makiko Nakamura; Teruhiko Imamura; Takuya Fukui; Youhei Ueno; Hiroshi Ueno; Shigeki Yokoyama; Toshio Doi; Kazuaki Fukahara; Koichiro Kinugawa
• Keywords: Impella

We studied the experience of a 69-year-old woman with acute decompensated heart failure due to post-infarction ventricular septal rupture. She received mechanical hemodynamic support by Impella 2.5 (Abiomed, Danvers, MA, USA), percutaneous axial-flow left ventricular assist device, which improved intra-cardiac pressure, maintaining end-organ function. She was successfully bridged to the scheduled surgical repair of ventricular septal rupture following the 9-day Impella support and discharged on foot on the 32nd day. Impella might be a useful mechanical circulatory support device as a bridge tool to the scheduled surgical repair of ventricular septal rupture if used with careful daily management to prevent device-related comorbidities.